Provider Demographics
NPI:1639877905
Name:THE GRAB BAR GUY
Entity Type:Organization
Organization Name:THE GRAB BAR GUY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-549-3528
Mailing Address - Street 1:PO BOX 9629
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-0629
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:516-268-9995
Practice Address - Street 1:214 LIBERTY ST APT 564
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-1845
Practice Address - Country:US
Practice Address - Phone:516-549-3528
Practice Address - Fax:518-268-9995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies